| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $1.45 | $1.66 | $1.66 | |
Cigna
| Professional | $0.24 | $0.24 | $0.24 | |
Molina
| Professional | $64.57 | $64.57 | $75.86 | |
Pacific Source
| Facility | $0.38 | $0.40 | $0.56 | |
Premera BCBS
| Facility | $0.40 | $0.55 | $0.81 | |
Premera BCBS
| Professional | $0.37 | $0.37 | $0.37 | |
Regence BlueShield
| Facility | $0.41 | $0.50 | $0.93 | |
Regence BlueShield
| Professional | $0.33 | $0.33 | $0.33 | |
United
| Professional | $0.41 | $0.76 | $1.23 | |
Wellpoint
| Professional | $0.33 | $0.33 | $0.59 |